# PLASTIC SURGERY ASSOCIATES PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548332976
- **Authorized official:** MRS. DEBORAH HOUGTON REDDING (EXECUTIVE MANAGER)
- **Authorized official phone:** (616) 451-4500

## Contact information

- **Practice address:** 220 LYON ST NW, SUITE 700, GRAND RAPIDS, MI 49503-2208
- **Practice address phone:** (616) 451-4500
- **Practice address fax:** (616) 451-9077
- **Mailing address:** 220 LYON ST NW, SUITE 700, GRAND RAPIDS, MI 49503-2208
- **Mailing address phone:** (616) 451-4500
- **Mailing address fax:** (616) 451-9077

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/14/2006
- **Last updated:** 08/22/2020